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43 <br /> U.S. Department of Agriculture <br /> Natural Resources Conservation Service Hazardous Materials Field Inspection Checklist <br /> Other Authorities <br /> I. AGRICULTURAL HISTORY: <br /> Type,Duration and Extent of Agricultural Activity: <br /> Surface Drains Present F-1 PRESENT F-1 NOT PRESENT <br /> Subsurface Drains Present u PRESENT ❑ NOT PRESENT <br /> J. RECOMMENDATION: <br /> In my professional opinion and based on my inspection of the site this project should move forward: <br /> F]YES FINO ❑ FURTHER INVESTIGATION NEEDED <br /> K. CERTIFICATION: <br /> I hereby certify that on ,20 1 made a personal examination and inspection of the tract or <br /> parcel of land identified above, and that I am fully informed as to the boundaries, lines and corners of said tract. Based <br /> upon a careful and thorough investigation and inquiry I hereby certify that the Hazardous Materials Field Inspection <br /> Checklist and the attachments are true to the best of my knowledge and belief. <br /> EXAMINER(Name and Signature) OFFICIAL TITLE <br /> 3 <br />